Designing Behaviour Change Interventions Flashcards
(29 cards)
If we didn’t do behaviours which undermine our health, what % of cancers would be ‘preventable’..
40%
Give an example of a positve health behaviour
- Seeking consultation
- eating healthily
- Giving up smoking
- Exercising
- Screening uptake
- Early symptom reporting
- Adherence to medical advice
- Maintenance of behaviour change
What are these an example of?
Positive patient health behaviours
What are some positive health professional behaviours
- Persuasive communication and interaction
- Appropriate advice and follow up
- Continuing professional development
- Implementation of evidence-based practice
- Adherence to best practice guidelines
Changing people’s behaviour is difficult but can be done.
What types of things are targeted in these interventions?
- social influences
- environmental cues
- attitudes and beliefs
- past behaviour
- habits and routines
- organisational structures (rules and regulations).
What did Johnson et al. (2010) find when looking at behaviour change interventions?
- Synthesis of 62 meta-analyses (1,011 primary evaluations)
- Interventions targeting:
- Eating, physical activity, sexual behaviour, addictive behaviours, stress management, screening for women and use of health services.
- Targeting women & older people – more effective
- Shorter interventions – more effective
- Heterogeneity of small/ medium effect sizes ds = .08 - .45
What is this
The Medical Research Council Framework for complex intervention development
What do the NICE guidelines suggest are important for developing a BCT intervention?
- Understand the behaviour(s) you are trying to change
- Use a framework that helps you identify the types of intervention strategies that are likely to be effective
- Take into account the perspectives of the people who will be using the intervention, those both those on the receiving and delivery-end.
- Target multiple systems to be most effective
Give two types of intervention which can be used to target behaviour change
- Intervention mapping
- Behaviour Change Wheel and COM-B model
- Person Based Approach
- CeHRes Roadmap
- 6SQuID
What are the 4 key steps of any intervention framework?
- Identifying target behaviour
- Influences on behaviour- modifiable or not?
- Logic model of the problem
- Take into account all the levels or systems from which behaviour is influenced
- Social-Ecological Model
Describe the 6 stages of intervention mapping as a BC technique
- Needs Assessment (what is the problem)
- Logic Model of Change (What is the behavioural outcome)
- Problem Design (how changes are to be achieved)
- Program Production (producing materials and structure)
- Implementation (what needs to change to implement the intervention)
- Evaluation (what does effective mean?)
What does the logic model assess?
Logic Model
- Impact?
- Ease to facilitate change?
- What is preferred, acceptable, cost?
- Does it affect other behaviours or people?
How can we identify what’s most important to change to get to the desired outcome
Evidence/Qualitative Interviews/Stakeholder Consultations with end-users/deliverers
What is a logic model
A step-by-step diagram which simply summarises what you are hoping to achieve, and the processes involved in achieving that.
What is this?
A logic model example
What does this show
An example logic model for heart failure
What did Greaves 2016 identify as the two main barriers for HF patients participating in exercise?
- Understanding the condition (i.e. knowing its safe to participate in exercise)
- Lists/Reminders (Forgetting medication at certain times)
What is this
An example of the COM-B model
Does changing cognition relate to health-related behaviour and motivation change?
Yes, if cognition change is effective, small to medium effect sizes are found for motivation and behaviour.
What is the Intention-Behaviour Gap
Intention-Behaviour Gap Size of effect on intention is not fully translated in effect on behaviour
What is this
Reflective Impulsive Model
What does the reflective impulsive model suggest an addiction/habit is?
Addiction/Habit – as a Failure of Regulation due to Conditioning Over Time
What does impulsive control state
Impulsive control means that behaviour is often initiated and sustained with little conscious monitoring.
How does a habit form
- Repeated associations between
- (1) cue and behaviour
- (2) behaviour and reward (physiological and emotional)
- Results in automatic impulsive responses (“conditioning”)
- cognitive (what we think)
- affective (what we feel)
- behavioural (what we do).
- Cues (“stimuli”)
- prompt automatic responses & behaviour
- without decisions
- so behaviour may conflict with and override what we had intended.
